There is good clinical and experimental evidence that oral tolerance exists in man and that the timing of antigen (food) administration is an important factor in the development of food allergic sensitisation and disease. Induction of tolerance is often seen as a T-helper 2-skewed response, which on one side may prevent harmful mucosal immune reactions, but on the other side may contribute to adverse responses in the susceptible individual. The primary mechanisms by which tolerance may be mediated include T-cell deletion, anergy, suppression ‘ignorance’ and apoptosis. Cell-mediated delayed hypersensitivity reactions (T-helper 1), which are implicated as a pathogenetic principle in the development of autoimmune and gastrointestinal inflammation are particularly well suppressed. Regulatory events during the induction of tolerance (or sensitisation) are not well characterised and remain at times controversial. The balance between tolerance (suppression) and sensitisation (priming) is dependent on several factors, such as: (a) genetic background; (b) nature of antigen and dose of antigen; (c) frequency of administration; (d) age (maturity v. immaturity) at first antigen exposure; (e) immunological status of the host (e.g. virus infection); dietary exposure of the mother; (g) antigen transmission via breast milk, and others. Overall, there is evidence in rodents that multiple low-dose feeds are more likely to induce regulatory cytokines (e.g. transforming growth factor-β, interleukins 10 and 4) in part secreted by CD4+CD25+ T-regulatory cells. Despite the powerful suppressive effect of oral antigen exposure observed in experimental models, its application in clinical trials of autoimmune diseases has not yet yielded the expected beneficial results.

The transmission of Ascaris suum was studied in outdoor reared pigs. From May to June 2001, 6 farrowing paddocks were naturally contaminated with A. suum using experimentally infected seeder pigs. Early July, 1 sow farrowed on each paddock. One piglet per litter was slaughtered every second week starting at week 3 post-partum (p.p.) for registration of liver white spots and recovery of A. suum from the lungs and the small intestine. The last pigs were slaughtered at week 19 p.p. Faeces was examined for parasite eggs and blood was analysed for A. suum-specific antibodies. Weaning took place at week 7 p.p. by removing the sow. Paddock infection levels were estimated by regular examination of soil samples and in late June and late November using parasite naïve tracer pigs. Paddock contamination was high but eggs developed slowly resulting in a low initial transmission to the experimental pigs. By week 5 p.p. transmission had increased and the numbers of infective eggs in the soil increased during the study. The results indicate a continuous uptake of infective eggs, but visceral larval migration was reduced with time, probably due to the development of a pre-hepatic barrier. Nevertheless, a rather large population of adult worms remained in the pigs throughout the study, and it may primarily have been eggs ingested in the early infection phase that gave rise to the patent infections. It is suggested that neonatal exposure may result in increased persistence and size of adult worm burden and that the higher ‘life-time worm burden’ may be of significant economic importance.